在肥胖中评估缓解症:矛盾还是完全可能?
1Division of Palliative Care Medicine, Department of Oncology, University of Alberta, Canada.
概括
肥胖的癌症患者可以经历肌肉衰竭 (sarcopenia) 尽管体重过重,这与死亡率有关. 这种疾病 - - 肥胖症 (sarcopenic obesity) 需要进一步的研究和临床关注,以获得更好的患者结果.
科学领域:
- 在瘤学瘤学.
- 营养科学 营养科学
- 老年病的医生 老年病的医生
背景情况:
- 现有的癌症患者临床显著减肥的定义不充分解决肥胖患者的问题.
- 肥胖通常与晚期癌症阶段的生存优势有关,与体重不足患者形成鲜明对比.
研究的目的:
- 探索肥胖癌症患者减肥和骨肌肉质量消耗的临床影响.
- 在肥胖的背景下,审查癌症缓解症的定义和影响.
主要方法:
- 关于癌症相关的减肥,缓解脱发和肥胖现有文献的综述.
- 对诊断成像技术进行分析,以评估骨肌肉指数 (SMI).
主要成果:
- 患有癌症的肥胖患者可以表现出显著的骨肌肉枯竭 (肉症),独立于整体体重减轻.
- 虽然体重减轻与肥胖患者 (BMI>30 kg/m2) 的死亡率有关,但影响不如正常或体重不足患者那么严重.
- 肥胖癌症患者的肌肉衰竭与死亡率,手术并发症和治疗毒性密切相关.
结论:
- 同时诊断肥胖和缓冲症是一个悖论,但突出了癌症营养状况的复杂性.
- 癌症患者的sarcopenic肥胖与不良的临床结果有关,需要进一步调查,临床诊断和有针对性的干预措施.
- 在肥胖和低体重癌症患者之间,减肥管理的临床优先级可能会有所不同.
相关概念视频
Obesity
442
The Body Mass Index (BMI) is a numerical value derived from a person's weight and height, used to categorize individuals into weight ranges. It is calculated using the formula: weight in kilograms divided by height in meters squared. Obesity is a health condition characterized by excessive accumulation of adipose tissue that poses health risks, often diagnosed with a BMI ≥ 30. This excess fat storage occurs when surplus dietary calories are converted into triglycerides and stored in...
442
Anorexia Nervosa
58
Anorexia nervosa is a complex and severe eating disorder characterized by an intense fear of weight gain, an unrelenting pursuit of thinness, and a distorted body image. It often leads to dangerously low body weight relative to an individual's age and height. This disorder is marked by significant physical and psychological consequences, making it one of the most life-threatening psychiatric illnesses.
Symptoms and Physical Effects
Individuals with anorexia nervosa commonly exhibit extreme...
Symptoms and Physical Effects
Individuals with anorexia nervosa commonly exhibit extreme...
58
Assessment of Airway, Skin Color, and Use of Accessory Muscles
986
A thorough assessment of respiratory health is paramount in clinical settings to identify and manage respiratory distress and ensure adequate oxygenation. This article elaborates on the critical aspects of respiratory evaluation, including airway assessment, skin color examination, and the observation of accessory muscle use, which are integral to effectively diagnosing and managing patients with respiratory conditions.
Introduction
The initial evaluation of a patient's respiratory system...
Introduction
The initial evaluation of a patient's respiratory system...
986


